The Handover Toolbox
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Poster accepted at the International Forum on Quality and Safety in Healthcare, 5-8 April, 2011 in Amsterdam.
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The Handover Toolbox
- 1. How it all started..and where we are now Marcel van der Klink, Hendrik Drachsler, Wendy Kicken, Slavi Stoyanov & Els Boshuizen HANDOVER meeting Brussels 13/15-10 2010 ToolBox THE
- 2. The problemThe problem Incorrect handovers cause adverse, life threathing events for patients The decrease in hospitalisation and increasing number of transitions, puts high demands on the quality of patient’s handover
- 3. Common solutionsCommon solutions SBAR Team STEPPS Electronic Patient System I PASS THE BATON Handover procedure protocols Electronic Handover systems
- 4. The TeamSTEPPSThe TeamSTEPPS FrameworkFramework Knowledge ◦ Shared Mental Model Attitudes ◦ Mutual Trust ◦ Team Orientation Performance ◦ Adaptability ◦ Accuracy ◦ Productivity ◦ Efficiency ◦ Safety Baker D, Salas E, Battles J, King H, Barach P, 2005, 2006, 2008
- 5. Does the training make a difference in patient care? Entin E, Lei L, Barach P. Surgical Innovation 2006;13:170-179.
- 6. WHY education?WHY education? People do not only need the intervention (e.g., SBAR) as such, but also: Awareness (for incorrect handovers) Knowledge (theory on communication) Skills (how to use it) Attitude (it is important to use it) WHAT should be trained to accompany the intervention:
- 7. HOW should training lookHOW should training look like?like? Gain more insight into What to train and how to train by: Interviews with training experts Questionnaires for primary and secondary care doctors and nurses Exploring best practices Plan-Do Change Act (PDSA) cycles of change
- 8. Interim ConclusionsInterim Conclusions Diversity of handovers and problems within different organisations and countries One size does not fit all No standard training Different training needs
- 9. So what to do?So what to do? Let TRAINING EXPERTS customize a training themselves….with some help: By offering a toolbox with all the ingredients for effective training and practice of handover
- 10. A Handover Training ToolboxA Handover Training Toolbox (HTT)(HTT) Effective interventions to improve handover are available in the HTT, including background information The HTT is a means in the hands of training experts to compose a training in handover
- 11. Characteristics of the HTTCharacteristics of the HTT Main target group: training experts Web-based Main language is English Information organised into special interest groups Open content
- 12. What can you do with theWhat can you do with the HTTHTT?? Search, download, share, and comment on available content in the HTT Search, communicate and co-operate with others with shared interests or problems
- 13. Where are we regarding the HTT?Where are we regarding the HTT? First prototype in which the main features are available So let’s have a look!
- 14. But first: some explanation regardingBut first: some explanation regarding an evaluation exercisean evaluation exercise Look at and listen to the presentation of the HTT. Meanwhile…create notes on P: Plus M: Minus I: Interesting Write down everything that comes to mind, generate as many ideas as possible, do not filter your ideas
- 15. Use Case scenario Role: Training expert on patient safety unit in Heerlen Hospital, Netherlands Task: Create a training program for handover for the General Practioners Subtasks: 1. Explore possible interventions 2. Create a training outline with topics and activities Deadline: YESTERDAY! Hint: Look at the Handover Training Toolbox
- 17. Users ofUsers of
- 27. Use Case scenario Deadline: YESTERDAY! Result: Peter found enough information for his task. In addition, he extended his professional network and started his own group on handover training for GPs . In this way he extended his learning opportnities, mentorship and reputation in the field. Hint: Look at the Handover Training Toolbox
- 28. What is in it for YOU?What is in it for YOU? Easy way to find interesting content Join a learning collaborative Extend your professional network Learn from others Create a distinct profile for oneself
- 29. What next?What next? Customisation and accessibility of the toolbox Systematic structured approach to further fill the toolbox with tools and guidelines Piloting the first version of the toolbox in Spain, The Netherlands and Poland Further fill the toolbox together with all HANDOVER members Promote the use of the handover training toolbox by training experts all across Europe and beyond
Editor's Notes
- In a DoD/AHRQ collaboration, The American Institutes for Research designed the framework for TeamSTEPPS. This comprehensive teamwork training system is designed to improve quality and safety by integrating teamwork principles into daily practice in all clinical settings—to include direct care givers and support personnel. Intuitively we know that patients are safer in healthcare delivery systems where these teamwork principles are practiced. We are seeing more and more being published on teamwork preventing mistakes and making safer for our patients. Not only are we finding reduction in adverse outcomes, but improved patient outcomes as well. TeamSTEPPS is comprised of 4 teachable, learnable skills: leadership, situation monitoring, mutual support, and communication, Utilized by all team members on a unit, result in improved performance, attitudes and knowledge.